Quality Data Analyst

Who you are:

As a Quality Data Analyst at Johns Hopkins HealthCare, you are all about data driven healthcare solutions. You love the idea that your advanced analytics skillset helps deliver actionable insights that impact our member’s healthcare outcomes. You connect the dots between quality, data, analytics, and reporting and its impact on improving quality of care.

What you’ll do:

• Provide a number of reports and data sets related to quality data and metrics through data acquisition, programming and analysis of claims and authorization, supplemental, and encounter data files.
• You are responsible for quality reporting internally as it relates to quality standards such as HEDIS, STARS, and Outreach metrics. T
  • Prepare significant analysis to identify/determine healthcare benefits for our members and to improve the quality of care.
• Write programs to pull data and create analytic datasets, assist with data requests, run analyses, generate data reports, and effectively communicate recommendations and/or results in written and oral presentations

What you’ll bring:

• Knowledge of managed care operations, to include, but not limited to:
  • Medicare/Medicaid claims data required
  • HEDIS technical specifications
  • HEDIS engine vendor interface
• Experience in medical coding systems, i.e. ICD-9, CPT, HCPCS, information systems, data extraction and manipulation, databases, biostatistics, and predictive modeling
• Advanced SQL query skills and ability to interpret complex data from multiple data sources and develop findings and recommendations.
• MS Office Suite experience, SQL and SPSS or other statistical package experience.
• 3+ years’ experience with database design and implementation; experience with data analysis required.
• Strong communication and interpersonal skills to be able to interact with all levels within the organization.
  • Ability to communicate and present results of analyses with a variety of internal and external audiences, both written and verbally.
• Must be able to work as a member of a problem solving team.
• Strong analytical and computation skills, with significant experience with data manipulation packages and techniques.
• Ability and willingness to master new software and statistical languages.
• Master’s degree in Computer Science, Statistics, Information Technology, Economics, Health Economics, or closely related analytic field is required. Bachelor’s degree and equivalent work experience may be substituted.

Who we are:

Johns Hopkins HealthCare (JHHC) is the managed care and health services business of Johns Hopkins Medicine. JHHC is a $3B business serving over 500,000 active members with lines of business in Medicaid, Medicare, commercial, military health, health solutions, and venture investments. JHHC is a leader in provider-sponsored health plans and is poised for future growth.

Many organizations talk about transforming the future of healthcare, at Johns Hopkins HealthCare, we are setting the pace for change within the healthcare industry. We develop innovative, analytics-driven health programs in collaboration with provider partners to drive improved quality and better health outcomes for our members and the communities we serve. If you are interested in improving how healthcare is delivered, and have a passion to be at the forefront of change, JHHC is the place to call home.

Please note: US citizenship is required for this position as it falls under the terms of a government contract (to ensure compliance with DODPSP).

If you reside in one of the following states, this position can be considered for virtual work: MD, VA, FL, PA, DE, NY, or District of Columbia

Johns Hopkins Health System and its affiliates are an Equal Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.

Johns Hopkins Health System and its affiliates are drug-free workplace employers.